Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.71 / $1,579.48 / $14,482.00	Facility		$762.71	$1,579.48	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,044.64 / $2,389.33 / $3,665.29	Facility		$2,044.64	$2,389.33	$3,665.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $735.68 / $936.85 / $1,754.98	Facility		$735.68	$936.85	$1,754.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $762.71 / $1,403.33 / $11,100.00	Facility		$762.71	$1,403.33	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $735.68 / $936.85 / $1,754.98	Facility		$735.68	$936.85	$1,754.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,511.90 / $1,842.19 / $2,750.03	Professional		$1,511.90	$1,842.19	$2,750.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $849.00 / $849.00 / $849.00	Facility	AS	$849.00	$849.00	$849.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00